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Kansas rates for HCPCS 21401

Closed treatment of fracture of orbit, except blowout; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.94 / $512.29 / $806.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.99 / $374.11 / $589.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.00 / $542.67 / $967.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.35 / $607.14 / $2,463.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.09 / $660.95 / $3,776.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.59 / $595.13 / $1,075.05